Nikolas Ryan Balas Valid NPI
Individual provider · Rehabilitation Practitioner · Coram, NY
- NPI
- 1801322375
- Type
- Individual (Type 1)
- Primary specialty
- Rehabilitation Practitioner
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225400000X
- License number
- 32468 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-05-03
- Last updated
- 2017-05-03
Practice location
3600 Route 112
Coram, NY 11727-4116
(631) 920-8500